@extends('admin.layout.index')

@section('content')
	<div class="col-lg-12">
	    <div class="card">
	        <div class="card-action">
	            模拟前台店铺申请
	        </div>
	        <div class="card-content">
	            <form class="col s12" method="post" action="/admin/examine/insert">
	            	{{ csrf_field() }}
	                <div class="row">
	                    <div class="input-field col s6">
	                        <input id="name" type="text" class="validate" name="name" value="{{ old('name') }}"  id="mima_mima">
	                        <label for="name" class="">
	                            <span style="font-size:14px">真实姓名</span>
	                        </label>
	                    </div>
	                </div>
	                <div class="row">
	                    <div class="input-field col s6">
	                        <input id="phone" type="text" class="validate" name="phone" value="{{ old('phone') }}"  id="mima_mima">
	                        <label for="phone" class="">
	                            <span style="font-size:14px">手机号</span>
	                        </label>
	                    </div>
	                </div>
	                <div class="row">
	                    <div class="input-field col s6">
	                        <input id="email" type="email" class="validate" name="email" value="{{ old('email') }}"  id="mima_mima">
	                        <label for="email" class="">
	                            <span style="font-size:14px">邮箱账号</span>
	                        </label>
	                    </div>
	                </div>
	                <div class="row">
	                    <div class="input-field col s6">
	                        <input id="type" type="text" class="validate" name="type" value="{{ old('type') }}"  id="mima_mima">
	                        <label for="type" class="">
	                            <span style="font-size:14px">店铺类型</span>
	                        </label>
	                    </div>
	                </div>

	                <div class="row">
	                    <div class="input-field col s6">
	                        <input id="address" type="text" class="validate" name="address" value="{{ old('address') }}"  id="mima_mima">
	                        <label for="address" class="">
	                            <span style="font-size:14px">店铺地址</span>
	                        </label>
	                    </div>
	                </div>
	                <div class="row">
		                <div class="input-field col s6">　
		                	<input type="hidden" name="username" value="{{ $data['username'] }}">
							<input type="submit" value="申请" style="width:150px;height:50px;font-weight:bold;font-size:16px;color:#333;margin-left:30px">
							<input type="reset" value="重置" style="width:150px;height:50px;font-weight:bold;font-size:16px;color:red;margin-left:30px">
	                	</div>
	                </div>
	            </form>
	        </div>
	    </div>
	</div>
@endsection

